Gareth Southgate has confirmed that Mason Mount and Luke Shaw remain doubts for England's World Cup qualifier against Albania, but Jack Grealish is back in training and is set to be available for the clash at Wembley Stadium on Friday.

It will be the Three Lions' final home game of the year and a win will see them move within one point of qualifying for Qatar 2022 from Group I, assuming second-placed Poland do not fail to win in Andorra.

The England manager has already lost Marcus Rashford, James Ward-Prowse and Declan Rice to injury from his initial squad, with Emile Smith Rowe the only replacement called up.

Speaking at a media conference on Thursday, when asked about the availability of Mount (dental) and Shaw (concussion), Southgate said "I've got to check in with our medical staff for our update. The longer it goes, the more unlikely it is.

"Mason has to recover from his dental surgery. Luke didn't pass his [head injury assessment] after the first day and rightly, we have to follow the guidelines with that.

"Jack Grealish has trained and is ready if required."

Southgate was asked how Arsenal youngster Smith Rowe has settled into the squad after his first senior call-up.

"He has settled really well," he added. "He obviously knows a couple of his club teammates and Phil [Foden] from the U17s. This is a group that makes new players very welcome so it's not a difficult environment to settle in and his quality has been apparent from the way he has trained.

"We have always worked on the basis that we need a strong squad because you will get injuries. We have depth and we have players who have been waiting for opportunities to play."

England captain Harry Kane was also present at the media conference and emphasised the need for he and his team-mates to brush off the disappointment of their 1-1 draw at Wembley in their previous qualifier against Hungary.

Kane said "Whenever you have a disappointing game, or you don't reach the standards you normally reach, it kind of wakes you up a little bit and makes you realise there's still work to do, still more to improve on.

"Three points from that game would have really helped towards securing qualification, so now it's about turning it round and responding to that game. We've had a great week of preparation but it's all about performing when the pressure's on and the team have done that before."

Kane was also asked about his own start to the season, having scored only once in his first 10 Premier League games for Tottenham. He was heavily linked with a move to Manchester City in the last transfer window, but denied that it has had an influence on his performances.

"Losing a European final for your country at Wembley will probably stay with me the rest of my career. You never really get over those things, unless we go and win a major tournament. That always stings but I'm pretty used to getting back into things," Kane said.

"There was a lot of speculation over the summer, that's the first real time that's happened to me. But that's part and parcel of being a big player, having to deal with those situations, and I think I dealt with it well. Now it's about focusing. There's still a long way to go at club level and we've got these two games to finish off what's been a great calendar year [for England]."

It is all change in the England squad, with two players dropping out, and Emile Smith Rowe earning a first senior call up from Gareth Southgate.

Smith Rowe has been in excellent form for Arsenal this season, but was not initially included in Southgate's squad for the upcoming World Cup qualifiers against Albania and San Marino.

The midfielder, who was handed Arsenal's number 10 shirt for 2021-22, has appeared in every Premier League game for the Gunners this term.

His tally of 15 chances created ranks him second in Arsenal's squad, behind Bukayo Saka (19). He has provided two league assists and scored four goals, meaning he is the club's joint-top scorer in the top flight alongside captain Pierre-Emerick Aubameyang.

After initially arriving at St George's Park to be part of the England Under-21 squad, Smith Rowe will instead join the senior side after Marcus Rashford and James Ward-Prowse dropped out.

Rashford has only just returned from a long injury lay off following shoulder surgery, and will remain at Manchester United in order to work his way back to fitness, while Southampton's Ward-Prowse is ill.

Southgate might also be without regulars Luke Shaw and Mason Mount. The United full-back is following concussion protocol after sustaining a head injury in Saturday's derby defeat to Manchester City and will continue to be assessed by the club before being released for international duty. 

Mount, meanwhile, has had his arrival pushed back by dental surgery and will be monitored over the coming days.

England host Albania on Friday, before taking on San Marino three days later. Four points from the two matches will guarantee their place in Qatar.

England manager Gareth Southgate has said he is confused by comments from Jurgen Klopp about his treatment of Liverpool players on international duty.

Klopp has previously raised concerns about Southgate's use of Trent Alexander-Arnold in midfield, as well as his justification for leaving Joe Gomez out of the England squad on the basis of a lack of game time at club level, while Manchester City's John Stones has continued to be picked despite spending much of the season on the bench.

Southgate has selected Liverpool duo Alexander-Arnold and Jordan Henderson in his squad for the upcoming World Cup qualifiers against Albania and San Marino.

"I don't quite know why he keeps having a swing, you'd have to ask him," Southgate told reporters.

"I think we've always got on reasonably well. I've noticed quite a few articles and quite a few comments, which is always interesting to see."

Marcus Rashford and Jude Bellingham have been recalled to Gareth Southgate's England squad for the upcoming World Cup qualifiers, but Jadon Sancho and his Manchester United team-mate Jesse Lingard miss out.

England require just four points to qualify for Qatar 2022 from the visit of Albania on Friday November 12 and their final qualifier away to San Marino three days later.

It is Rashford's first call-up since his missed penalty in the Euro 2020 final shootout defeat to Italy as he has only recently recovered from shoulder surgery, while Bellingham comes back into the squad after being left out for previous games against Andorra and Hungary.

A lack of game time at club level appears to have cost Sancho and Lingard their places in the squad as the United duo miss out.

Speaking after making the squad announcement, Southgate said: "With Mason [Greenwood] I discussed the situation last time, with Jesse and Jadon they just aren't playing a lot of football compared to the other players in their positions.

"I know people will say I'm inconsistent, but I don't think I am. If you're playing regularly for your club you've got a much better chance of us assessing your level compared to the rest of the group."

Elsewhere, Harry Maguire, Trent Alexander-Arnold, Reece James and Kalvin Phillips also come back into the 25-man squad, while Kieran Trippier, Fikayo Tomori and Ollie Watkins are left out.

England squad in full:

Sam Johnstone (West Brom), Jordan Pickford (Everton), Aaron Ramsdale (Arsenal); Trent Alexander-Arnold (Liverpool), Ben Chilwell (Chelsea), Conor Coady (Wolves), Reece James (Chelsea), Harry Maguire (Manchester United), Tyrone Mings (Aston Villa), Luke Shaw (Manchester United), John Stones (Manchester City), Kyle Walker (Manchester City); Jude Bellingham (Borussia Dortmund), Jordan Henderson (Liverpool), Mason Mount (Chelsea), Kalvin Phillips (Leeds United), Declan Rice (West Ham), James Ward-Prowse (Southampton); Tammy Abraham (Roma), Phil Foden (Manchester City), Jack Grealish (Manchester City), Harry Kane (Tottenham), Marcus Rashford (Manchester United), Bukayo Saka (Arsenal), Raheem Sterling (Manchester City).

Gareth Southgate refused to assess the individual performances of Harry Kane and Raheem Sterling or rush to judgement on Phil Foden's role in the England team after their draw with Hungary.

The Three Lions were held 1-1 at Wembley on Tuesday, ending a run of 21 consecutive home qualifying wins.

They had to come from behind, too, with Roland Sallai dispatching a penalty after Luke Shaw was penalised for a high boot, before John Stones nodded a leveller.

Southgate sought to change the game – avoiding a repeat of the Poland game, where he made no substitutions in an England match for the first time since Euro 96 – but Jack Grealish was an odd choice for the first withdrawal.

Grealish had caused Hungary problems, unlike Kane and Sterling, who both followed.

Although Sterling had two of England's biggest chances, he could not beat Peter Gulacsi, while Kane's run of goals in 15 consecutive qualifiers came to an end without the struggling Tottenham superstar netting.

Southgate was asked if poor club form, with Sterling out of the first team at Manchester City, had contributed to below-par showings from two of England's most consistent performers.

But he told ITV: "I don't think we should look at individuals, because collectively we didn't perform at the level we needed to.

"When you have that sort of situation, it's difficult for individuals as well."

Southgate took a similar tact when asked about the make-up of his midfield, where Foden again played a central role – as in Andorra on Saturday – but this time joined Mason Mount alongside Declan Rice.

Mount represents a similarly adventurous option, and Southgate had recognised a need to look at "the balance of the team" after Hungary posed England "a tactical problem".

"We've got to go away and reflect," the manager said. "We shouldn't just judge things on one game in terms of that experiment, if you like, because I think right across the board, from the start, we weren't sharp with our play, gave the ball away, we were overrunning things.

"I just think we were underneath it. It's the first time in a long time, but we've got to hold our hands up to that."

Despite the difficult outing, which was further marred by clashes between police and the Hungary fans, one of whom was arrested for a "racially aggravated public order offence", England remain in control of Group I.

And discounting penalty shoot-outs, Southgate's side are now unbeaten in 18 – their longest such sequence since a run of 19 that included their 1966 World Cup win.

Gareth Southgate expects talks over his future as England manager to resume after his side secures a spot at next year's World Cup. 

Southgate's current deal is due to expire after Qatar 2022, but it sounds as if he and Football Association officials would like to continue the union. 

In the meantime, though, Southgate said he is focused on qualification, which could be secured in mid-November fixtures against Albania and San Marino. 

England hold a four-point lead in Group I heading into Tuesday's game against Hungary at Wembley. 

"I think I said last month that I had asked to put that [contract talks] further back into the autumn as I just wanted to focus on these games and also to give the time to make the right decision," Southgate said.

"After the Euros there is a huge amount of emotion and feeling and fatigue from going through a tournament like that. I want to make sure that I am making the right decisions for the right reasons.

"We have happily parked that for the time being. The discussions are very much open and [FA chief executive] Mark Bullingham has been really, really supportive.

"But I have really felt this task of getting the country to the World Cup was the priority. We can look at everything in the next few weeks."

Hired as England manager in November 2016, Southgate signed a new four-year contract after leading his side to the semi-finals at Russia 2018 and has since added a trip to the final at Euro 2020. 

There has been speculation he could seek a return to club management after the World Cup.

England manager Gareth Southgate is unconvinced by the idea of having the World Cup every two years, questioning the feasibility of continuously adding to the football calendar.

The idea of a biennial World Cup had been floated in the past, but in recent months it seems to have become a much more likely next step for the competition.

Former Arsenal boss Arsene Wenger publicly backed the idea back in July and, as FIFA's head of global football development, the Frenchman has argued a revamp of the international football calendar is both "what the fans want" and a necessity for the improvement of player wellbeing.

FIFA has been carrying out a feasibility study on the prospect of a World Cup every two years and last month held an online summit to discuss plans.

But FIFA's Wenger-backed proposals have been met with antipathy from many key stakeholders, such as confederations, officials, leagues, players and clubs.

UEFA has been particularly scathing in its response to the idea, with president Aleksander Ceferin openly in opposition and vice-president Zbigniew Boniek rather callously questioning the mental sanity of such a proposal.

Southgate was less forthright but still expressed a hint of disagreement.

"I don't know how far things have progressed. There seemed to be a lot of things not in the original proposal I was shown; it is hard to keep track," he told reporters on Monday ahead of England's World Cup qualifier against Hungary.

"We all want high-level games; the Nations League showed the quality and that is exactly what we want to be involved in, but you can't just keep adding to the calendar."

England midfielder Mason Mount was in attendance with Southgate and agreed with the idea that players should be consulted when such proposals are being drawn up, though he seemed to be open to playing a major tournament every year.

"I'd love that, but after the Euros and everything we went through, it [recovering mentally] probably did take longer than anything else," he said.

"You reflect on how it went – it was obviously such a big heartbreak to go all the way then fall at the last hurdle was difficult."

On player consultation, he added: "To have the players' input would be positive, I think.

"We want to play in as many top tournaments and games as possible, we want to be involved. To speak to us would be positive and help shape the future."

Gareth Southgate was not surprised by Phil Foden's outstanding England display against Andorra, while he backed Jadon Sancho to recover his best form at Manchester United.

Foden came into the international break having dazzled on the left wing for Manchester City in last week's 2-2 draw with Liverpool, scoring one goal and having a hand in the other.

The 21-year-old was not on the scoresheet in Saturday's 5-0 World Cup qualifying win, but he controlled the game from the centre of midfield.

Having played the pass that cut Andorra open for Ben Chilwell's opener, Foden got an assist for Bukayo Saka's second. The last England duo aged 21 or under to combine for a World Cup qualifying goal had been Steven Gerrard and Michael Owen against Germany in 2001.

Tammy Abraham, James Ward-Prowse and Jack Grealish added goals after half-time, but Foden remained the star.

Although there was one wild, wayward shot, he created three chances and completed 94.7 per cent of his 76 passes, including 93.1 per cent of 58 in the Andorra half.

England have been accused of lacking control in the centre of the pitch in their biggest games, so manager Southgate was intrigued by Foden's display – even if he expected the City man would thrive.

"The quality we know," Southgate told a news conference. "For us, it's really interesting the possibilities with him in terms of his positioning moving forward.

"Today was a perfect game, because the whole team had no need for defending, so you're only analysing one part of the game against a certain level of opponent.

"Nevertheless, to see the passes and to have the quality to hit the passes he did is apparent for everybody.

"Not just him, but as one or two others in that midfield get stronger, I think it's exciting to see how we might evolve as a team in certain matches and how that balance and creativity might continue to progress.

"I'm not surprised that his performance was the standout tonight. We half-expected it when we named the team, really.

"I think [identifying his best position] is difficult, because frankly he's one of those players that is effective across that front line, if you play him seven, 11, 10, eight.

"A traditional 4-3-3 formation, with a six, eight, 10, [he would be] the 10 within that but with the capability to drop lower and to build the play at times as he did tonight.

"I think part of that is as he gets stronger, and part of that is the balance of the type of player who might play as the other eight, as well, and their qualities.

"Look, it's fabulously exciting, isn't it, when you're trying to break down a defence as you are tonight and you've got a player who can see the passes that he sees and hit them and execute them in the way that he did.

"Towards the end of the game, there were some lovely bits of combination – Foden, Mount, Grealish, Saka – the type of play that our players are capable of producing is really exciting."

While Foden has two goals and two assists in six club games this term on one side of Manchester, new United signing Sancho has yet to register one of either in nine outings.

He got two assists on Saturday, though, including teeing up Chilwell after Foden's pass.

Southgate said: "It was not easy for a winger in the game tonight, because quite often you're receiving the ball with two, sometimes three defenders really close.

"You've got to pick the right moments to set the ball off and the right moments to back yourself to maybe take one or two of those players out. I thought he did that exceptionally well.

"It was important that he got the assist, because you've also got to have that productivity, and the right pass or the right cross at the end of those packages of play.

"When I've spoken to him this week, we shouldn't be surprised that for a young player to have such a big change in his life – new league, new club, different style of play, different training regime, back living in Manchester, moving house, everything that's involved in that – that's a lot to take in.

"It's going to need time, but he showed a lot of the qualities he has, and I know that will come with the club as well."

The Andorra Football Federation (FAF) expects Saturday's World Cup qualifier with England to go ahead as planned, despite a fire breaking out at their Estadi Nacional ground on the eve of the game.

The fire, which started a few hours after Gareth Southgate's squad had been training at the 3,300-capacity stadium, caused thick black smoke and was dealt with by fire crews.

A television gantry went up in flames while a VAR monitor and a dugout appeared to be damaged. Some of the playing surface towards the touchline was also burned.

However, the FAF has moved to allay fears that the fixture is at risk of being postponed or moved to a new venue. 

"No personal harm has been reported, only material damage. The schedule will continue as planned and the match will go ahead," a statement read on Friday.

UEFA is expected to have the final say on whether the game will take place at Estadi Nacional.

England lead the way at the top of Group I ahead of this weekend's contest, sitting four points clear of second-place Albania and a further point in front of Poland.

A fire broke out at Andorra's Estadi Nacional ground the day before the World Cup qualifying match against England.

Gareth Southgate's squad had been training at the 3,300-capacity stadium on Friday around three hours before the blaze started.

The fire, which caused thick black smoke, appeared to take place in the broadcast gantry in between the two dugouts.

After fire crews dealt with the incident, a VAR monitor and one dugout looked to be damaged, while there was also a burnt area of the playing surface towards the touchline.

Initial reports have suggested the fixture is not in doubt, but UEFA must decide if it can go ahead at the original venue.

There must be a back-up venue in place for all qualifying matches, per UEFA rules.

Gareth Southgate has rejected the suggestion that "most" of his England squad are not fully vaccinated against coronavirus and reiterated his support for a vaccine programme.

The subject of wildly varying vaccination rates at Premier League clubs recently prompted a passionate outburst from Liverpool boss Jurgen Klopp.

Southgate supports the vaccination programme and Tammy Abraham this week became the first England player to reveal he had been jabbed, but others have been reluctant to speak about the matter publicly.

Asked about most players in the squad and Premier League in general not being fully vaccinated ahead of England's World Cup qualifier in Andorra, Southgate replied: "I'm not sure that's totally accurate, in terms of 'most', but I think everybody knows where I stand on the subject.

"To move out of a pandemic, the only way is a vaccination programme, I think that was essential.

"There is then the complication that there are lots of individual circumstances around that and I understand that some people would be anxious, perhaps.

"When you are in the camp of mine, over 50, there is less to consider really. The odds are more straightforward, it's a much more straightforward decision and I'm a believer that it's the right thing to do.

"I can kind of understand there are other topics we've talked about where everybody would be aligned and we would all have a very clear view as a team.

"With this, it's a little bit more nuanced, lots of people have had the virus, so maybe they feel the antibodies are high in their own bodies.

"Lots of people might have individual medical conditions, some people in the country might have religious reasons. It's a complicated area, my belief is the route out of the pandemic is a vaccination programme.

"I'm yet to hear anybody offer an alternative and there is not a lot more we can say than that."

Southgate says the England team doctor takes the lead when it comes to communicating with the players on the subject.

He added: "Our doctor over the last year and a half has always spoken to the players about the current situation.

"He has spoken in terms of infection in the country to explain what measures will be needed within the camp for us because those over the 18 months have changed.

"So whether masks are needed indoors for us, the level of testing and whatever that is going to be.

"He's always explaining the benefits of the vaccination. But, of course, we have had to deal with many different topics.

"We also have to prepare a team to play football and sometimes there wouldn't be enough hours to discuss all the things that everybody seems to want us to discuss and prepare a team to play a football match.

"We cannot impact the weather in the next two or three days, we could not jab everyone here in two or three days.

"There is a balance to strike. First and foremost, we are here to win football matches."

England are four points clear of Albania at the top of Group I ahead of Saturday's match with Andorra, who are fifth in the standings.

What is expected to be a more testing match with Hungary follows at Wembley on Tuesday.

Gareth Southgate says England know they are "close" to ending their long wait to win a major trophy as they prepare to try to seal World Cup qualification.

The Three Lions suffered the heartbreak of losing to Italy on penalties in the Euro 2020 final at Wembley in July, three years after crashing out of the World Cup in Russia at the semi-final stage.

It is 55 years since England won their only major trophy in the 1966 World Cup on home soil, but they are well on course to get another opportunity in Qatar next year.

England are four points clear at the top of Group I ahead of an away clash with Andorra on Saturday and an encounter with Hungary at Wembley three days later.

Southgate has been impressed with the way his players reacted to missing out on Euro 2020 glory and feels there is a belief they can avoid more agony.

He said: "Ultimately what I like last month [when they thrashed Andorra and Hungary before drawing in Poland] is that there was no hangover in terms of the disappointment and no complacency in terms of the attitude of the players.

"There was a desire to improve, to make sure the next steps are the right ones and keep the standards every day. 

"Of course we've got to qualify first, that's the task over the next five to six days, to get six points.

"But there is a definite understanding that we are close, that we are ranked well in the world and that our results over a period of time have been consistent, but we know we ultimately want to go one step further next time."

It is just over five years since Southgate initially took over as manager on an interim basis before landing the role for the long term.

The ex-England defender says there is much more desire in the camp compared to when he took the reins in 2016.

"Different periods across that timeline, I think the first thing we wanted to do was restore confidence and then across the period of time optimism," he said.

"I think it's best embodied in terms of the players in that I can remember at that time it was difficult to get players to come sometimes. Now we had three lads called into the squad late and they couldn't wait to be here.

"There's lots of markers we could use, but for me in terms of working with the team and the enthusiasm of the team the connection with the country I think they are probably the things at the utmost in my mind."

Southgate brushed off concerns about Harry Kane playing on an artificial pitch in Andorra with his history of ankle trouble and says he has no new injuries to contend with.

James Ward-Prowse has received a late England call-up to replace the injured Kalvin Phillips for the upcoming World Cup qualifiers against Andorra and Hungary.

Leeds United midfielder Phillips has been ruled out with a calf strain he suffered in his club's 1-0 win over Watford on Saturday.

Ward-Prowse, who became the fourth Southampton player to both score and be sent off in a Premier League match after Peter Crouch (May 2005), Sadio Mane (October 2015) and Pierre-Emile Hojbjerg (December 2018) after he followed up a successfully converted penalty with a straight red card in the defeat to Chelsea on Saturday, is the latest addition to the squad for manager Gareth Southgate.

England's manager is already without a host of players for the October fixtures.

Reece James was ruled out on Monday, the Chelsea defender replaced by club colleague Ben Chilwell, who was part of England's Euro 2020 squad but did not feature in the tournament.

Meanwhile, ex-Blues striker Tammy Abraham was another to be drafted in, his addition coming amid the absences of Patrick Bamford, Dominic Calvert-Lewin and Marcus Rashford.

Defensive duo Harry Maguire and Trent-Alexander Arnold are also sidelined, while Southgate opted to leave out Jude Bellingham and Mason Greenwood, allowing the young duo to rest.

Phillips started all seven games as Southgate's Three Lions reached the European Championship final. Indeed, only goalkeeper Jordan Pickford (690) and John Stones (679) played more minutes in the campaign.

The 25-year-old ended the tournament with a passing accuracy of 85.92 per cent, creating three chances in the process, though missed out on glory as Italy secured the trophy via a penalty shoot-out win at Wembley Stadium.

Sitting top of Group I in the quest to qualify for Qatar 2022, England visit Andorra on Saturday before hosting Hungary three days later.

Raheem Sterling has praised the "fantastic job" done by Gareth Southgate in helping to change the perception of the England team, both with the national media and the supporters.

After a spell as interim boss, Southgate was appointed on a permanent basis in November 2016. Since then, he has steered England to a World Cup semi-final and the Euro 2020 final, where the Three Lions lost on penalties to Italy.

Sterling has been a key member of the squad during the current reign, having made his international debut under Rory Hodgson back in 2012.

"I feel like when I first went into the camp, it was very much them versus us, the media versus the players," Sterling, who has won 70 international caps and scored 18 goals, said in an interview with Sky Sports.

"When Gareth came in, he made it very clear what his intentions were, they were to make England challenge on all fronts, make us challenge at Euros and World Cups.

"If we were to do that, we had to change the perception in the media, public and us the players – we all had to be one if we wanted to achieve something with the national team.

"From the moment he [Southgate] came in, he really tried to work on building that relationship with the media and the fans and I think he's done a fantastic job at doing that."

The Manchester City forward scored three goals in the European Championship run, with the team as a whole embracing the opportunity to play on home soil in all bar one of their fixtures.

England have shown few signs of suffering a Euros hangover since the agonising defeat to Italy at Wembley Stadium; they sit top of their group in World Cup qualifying, despite a late equaliser by Poland last month ending their 100 per cent record.

Ahead of games against Andorra and Hungary, Sterling made clear how much the players appreciate the support they receive when representing their country.

"I think the fans are reconnected with the players again and you can see it when you go into the games, the players feel loved," Sterling added.

"Going into the games, even in the summer, you didn't feel any pressure. People might say 'you played every game at Wembley', but that's huge pressure as you're at home and people expect things from you."

England have called up Ben Chilwell to replace the injured Reece James, while Tammy Abraham features as a late inclusion for October's internationals.

Gareth Southgate named a 23-man squad on Thursday for World Cup qualifiers against Andorra and Hungary but has announced two changes to his group.

James, who suffered an ankle injury in Chelsea's 1-0 loss to Manchester City last month, is ruled out through injury and club colleague Chilwell takes his place.

The left-back was encouraged to prove his worth to both Southgate and Thomas Tuchel at club level after initially being left out, and he duly did so as he scored in a 3-1 defeat of Southampton on Saturday.

In that contest, Chilwell attempted four shots and made a game-high three key passes, subsequently earning a call-up at the expense of his team-mate, who was somewhat of a surprise inclusion in the first place.

Former Chelsea striker Abraham has also been included as a late call-up, with Southgate opting to extend his squad to 24 players due to the Roma forward's current form.

Abraham – who had not been selected since November 2020 – has six caps to his name and will have been disappointed with his initial omission, given the injuries to Patrick Bamford, Dominic Calvert-Lewin and Marcus Rashford.

Abraham has scored twice and assisted as many in seven Serie A appearances for Jose Mourinho's men and he will now act as a likely deputy to Harry Kane, who has scored nine times in 13 internationals in 2021 for England.